Christy Wise is a Clinical in Del Mar, California. Christy Wise practices all healthcare services and medical treatments related to Clinical. The NPI Number for Christy Wise is 1407839012. The last update date is 2012-01-17.
Christy Wise's current location address is 1104 Camino Del Mar, Del Mar, California. You can contact this provider via phone number 8778807337 and fax number 8589231121. The mailing address for Christy Wise is 1104 Camino Del Mar, Del Mar, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Christy Wise |
|---|---|
| Address | 1104 Camino Del Mar, Del Mar, California |
| Phone Number | 8778807337 |
| Fax Number | 8589231121 |
| Sole Proprietor | N |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1407839012 |
|---|---|
| Provider Enumeration Date | 2005-11-29 |
| Last Updated Date | 2012-01-17 |
Provider Mailing Address Detail
| Address | 1104 Camino Del Mar |
|---|---|
| City | Del Mar |
| State | California (CA) |
| Post Code | 920142656 |
| Phone Number | 8778807337 |
| Fax Number | 8589231121 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY19841 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 11521017 | CA | CAQH |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Christy Wise by the Centers for Medicare & Medicaid Services?
The Christy Wise has been assigned the NPI (National Provider Identifier) 1407839012 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Christy Wise?
The Christy Wise is situated at 1104 Camino Del Mar, in the city of Del Mar, state of CA, with the zip code 920142656.
What is Christy Wise's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Christy Wise is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
On what date did Christy Wise receive its 1407839012 assignment from the Centers for Medicare & Medicaid Services?
The Christy Wise was assigned its 1407839012 on 2005-11-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Christy Wise most recently updated or revised?
The information pertaining to Christy Wise, including its address, specialty, and other relevant details, was last updated or revised on 2012-01-17.